Individual
FABIENNE PAUL-BLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
725 ALBANY ST, SHAPIRO LOWER LEVEL, BOSTON, MA 02118-2526
(617) 638-6287
(617) 638-6284
Mailing address
850 HARRISON AVE, YACC BN-C7, BOSTON, MA 02118-4001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
269503
MA
363LF0000X
Family Nurse Practitioner
Primary
269503
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110079011A
—
MA
Enumeration date
03/18/2008
Last updated
09/25/2012
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